Senior Nurse Case Manager – Rare Disease

This is a fully remote position, open to applicants in Canada.

📋 Description

• Oversee case support for designated physicians, hospitals, and clinics within a specific geographical area.

• Facilitate care coordination, reimbursement, clinical monitoring, and issue resolution to ensure patients can access services and drug therapies.

• Offer medical assistance and education to patients and healthcare providers regarding disease, therapy, and disease management.

• Provide both inbound and outbound telephone support, which includes maintenance and adherence calls.

• Implement case-management protocols that encompass clinical monitoring, data collection, patient follow-up, compliance, therapy disruptions or discontinuations, and adverse event reporting.

• Organize documentation necessary for securing prescription drug coverage through private, public, and federal funding programs.

• Collaborate with insurers, physician offices, healthcare professionals, pharmacies, and agencies to identify reimbursement solutions, coordinate drug delivery, and resolve issues.

• Maintain precise case information, manage databases, and conduct ongoing audits of files and collected data.

• Communicate effectively with the manager, team, and client regarding patient case management.

• Participate in patient meetings, conferences, and specialized therapy training sessions.

• Foster relationships with patient associations, advocacy groups, and pharmaceutical partners.

• Work alongside program colleagues to develop and implement disease-management programs, patient materials, compliance standards, needs assessments, and protocols.

• Assist in the training of new Nurse Case Managers through shadowing and call monitoring.

⛳️ Requirements

• Proficiency in both French and English is essential.

• Bachelor’s degree or Registered Nurse diploma is required.

• A minimum of five years of nursing experience is necessary.

• Experience in healthcare and case management within a medical or hospital setting, insurance environment, or biopharmaceutical industry is expected.

• Background in third-party reimbursement, pharmaceutical sales, managed care, clinical support, or related fields is a plus.

• Capability to comprehend and communicate medical information clearly and appropriately.

• Strong focus on patient care, excellent customer service, telephone etiquette, and both written and verbal communication skills.

• Ability to work independently, prioritize competing deadlines, multitask, and perform effectively under pressure.

• Proficient negotiation, interpersonal, leadership, analytical, mathematical, business, and financial skills.

• Exceptional attention to detail, organizational skills, and problem-solving abilities.

• Proficiency in Microsoft Outlook, Word, and Excel.

• Strong internet research skills and general computer proficiency.

🏝️ Benefits

• Medical, dental, and vision care.

• Backup dependent care.

• Adoption assistance.

• Infertility coverage.

• Family building support.

• Behavioral health solutions.

• Paid parental leave.

• Paid caregiver leave.

• Access to training programs.

• Professional development resources.

• Mentorship programs.

• Employee resource groups.

• Volunteer opportunities.

• Reasonable accommodations during the employment process and throughout employment.